Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.68 / $681.91 / $6,365.97	Facility		$209.68	$681.91	$6,365.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.62 / $209.69 / $257.18	Professional		$205.62	$209.69	$257.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.66 / $453.36 / $857.62	Facility		$251.66	$453.36	$857.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.75 / $170.26 / $170.26	Professional		$161.75	$170.26	$170.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $278.72 / $278.72 / $278.72	Facility		$278.72	$278.72	$278.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.22 / $203.58 / $214.36	Professional		$142.22	$203.58	$214.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $203.58 / $305.37 / $11,225.93	Facility		$203.58	$305.37	$11,225.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $209.69 / $244.29	Professional		$203.58	$209.69	$244.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $234.11 / $235.27 / $244.03	Professional		$234.11	$235.27	$244.03
United Facility/Professional Professional Modifier Low / Median / High Price $203.58 / $226.63 / $260.62	Professional		$203.58	$226.63	$260.62